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<table border="0" class="report_table" width="100%" cellpadding="0" cellspacing="0" >
  <tr>
    <td width="4%" align="center" valign="middle" class="data" >&nbsp;</td>
    <td colspan="4" align="center" valign="middle" class="data">NG&#431;&#7900;I C&Oacute; C&Ocirc;NG </td>
    <td colspan="5"  align="center" valign="middle" class="data" >TH&Acirc;N NH&Acirc;N H&#431;&#7902;NG TR&#7906; C&#7844;P </td>
    <td colspan="2" align="center" valign="middle" class="data">NG&#431;&#7900;I NH&#7852;N </td>
  </tr>
  
  <tr>
    <td width="4%" align="center" valign="middle" class="data" ><strong>S&#7889; tt</strong></td>
    <td width="12%" align="center" valign="middle" class="data"><strong>H&#7884; V&Agrave; T&Ecirc;N </strong></td>
    <td width="11%" align="center" valign="middle" class="data" ><strong>NGUY&Ecirc;N QU&Aacute;N </strong></td>
    <td width="6%" align="center" valign="middle" class="data" ><strong>&#272;&#7888;I T&#431;&#7906;NG </strong></td>
    <td width="8%" align="center" valign="middle" class="data" ><strong>NG&Agrave;Y HY SINH </strong></td>
    <td width="13%" align="center" valign="middle" class="data" ><strong>H&#7884; V&Agrave; T&Ecirc;N </strong></td>
    <td width="8%" align="center" valign="middle" class="data" ><strong>NGUY&Ecirc;N QU&Aacute;N </strong></td>
    <td width="11%" align="center" valign="middle" class="data" ><strong>N&#416;I TH&#431;&#7900;NG TR&Uacute; </strong></td>
    <td width="7%" align="center" valign="middle" class="data" ><strong>Quan h&#7879; v&#7899;i ng&#432;&#7901;i c&oacute; c&ocirc;ng  </strong></td>
    <td width="6%" align="center" valign="middle" class="data" ><strong>M&#7913;c tr&#7907; c&#7845;p m&#7897;t l&#7847;n </strong></td>
    <td width="7%" align="center" valign="middle" class="data" ><strong>K&yacute; nh&#7853;n </strong></td>
    <td width="7%" align="center" valign="middle" class="data" ><strong>Ghi s&otilde; H&#7885; T&ecirc;n </strong></td>
  </tr>

